How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $74.13 | Facility | None | $33.88 | $34.67 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $26.92 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $10.72 | Professional | 26 · Professional part | $7.76 | $9.55 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $26.92 | Professional | TC · Technical part | $19.05 | $25.12 | $26.92 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.61 Typical High $13.49 | Professional | 26 · Professional part | $6.46 | $6.61 | $13.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $147.91 | Facility | None | $39.81 | $74.13 | $147.91 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $33.11 | $48.98 | $91.20 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $21.88 | $33.11 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $5.89 | $10.23 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.44 Typical High $52.48 | Professional | TC · Technical part | $15.49 | $23.44 | $52.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $117.49 | Facility | None | $34.67 | $61.66 | $117.49 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $38.90 Typical High $74.13 | Facility | TC · Technical part | $23.99 | $38.90 | $74.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $20.89 Median $27.54 Typical High $36.31 | Professional | None (both parts) | $20.89 | $27.54 | $36.31 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $6.46 | $8.51 | $10.00 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $14.45 | $19.50 | $26.30 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $21.88 | $28.84 | $57.54 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $9.55 | $16.60 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $20.42 | $41.69 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $38.90 | Professional | None (both parts) | $25.12 | $28.84 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $17.38 | $19.95 | $26.92 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $21.88 Typical High $26.92 | Professional | FX · Film X-ray | $17.38 | $21.88 | $26.92 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $74.13 Median $107.15 Typical High $181.97 | Facility | 50 · Both sides | $74.13 | $107.15 | $181.97 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 50 · Both sides | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $41.69 Typical High $45.71 | Professional | 50 · Both sides | $29.51 | $41.69 | $45.71 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $41.69 Typical High $45.71 | Professional | 50 · Both sides | $28.84 | $41.69 | $45.71 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 26th of 51
$33.88
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.